Method and apparatus for treating pelvic organ prolapse
First Claim
1. A method for repair of pelvic organ prolapse in a patient, said method comprising the steps of:
- establishing a first pathway in tissue on a first side of said prolapsed organ, said first pathway extending between an external perirectal region to a region of an ischial spine of the patient;
establishing a second pathway in tissue on a contralateral side of said prolapsed organ, said second pathway extending between an external perirectal region to a region of an ischial spine, and through levator muscle of the patient;
positioning a support member in a position to reposition said prolapsed organ in said organ'"'"'s anatomically correct location, said supporting member comprising a support portion having a first and second end, and two end portions, said end portions respectively attached to said first end and said second end;
introducing said end portions through said first and second pathways, respectively; and
adjusting said end portions so that said support member is in a therapeutic relationship to a tissue of said prolapsed organ that is to be supported.
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Accused Products
Abstract
A method of treating pelvic organ prolapse is provided. The method generally includes the steps of establishing a first pathway between the external perirectal region of the patient to the region of the ischial spine in tissue on one side of the prolapsed organ, followed by establishing a second pathway in tissue on the contralateral side of the prolapsed organ. A support member, which includes a central support portion and two end portions, is positioned in a position to reposition said prolapsed organ in said organ'"'"'s anatomically correct location. The end portions of the support member are introduced through the respective tissue pathways, followed by adjustment of the end portions so that the support member is located in a therapeutic relationship to the prolapsed organ that is to be supported. An apparatus and kit for said treatment is further provided.
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Citations
35 Claims
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1. A method for repair of pelvic organ prolapse in a patient, said method comprising the steps of:
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establishing a first pathway in tissue on a first side of said prolapsed organ, said first pathway extending between an external perirectal region to a region of an ischial spine of the patient; establishing a second pathway in tissue on a contralateral side of said prolapsed organ, said second pathway extending between an external perirectal region to a region of an ischial spine, and through levator muscle of the patient; positioning a support member in a position to reposition said prolapsed organ in said organ'"'"'s anatomically correct location, said supporting member comprising a support portion having a first and second end, and two end portions, said end portions respectively attached to said first end and said second end; introducing said end portions through said first and second pathways, respectively; and adjusting said end portions so that said support member is in a therapeutic relationship to a tissue of said prolapsed organ that is to be supported. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. An apparatus for treating pelvic organ prolapse in a patient comprising:
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a support portion for placement in a therapeutically effective position, having first and second ends; and exactly two elongated end portions consisting of a first elongated end portion connected to said first end of said support portion and configured to extend through a tissue path from vaginal tissue, to a region of an ischial spine, and to an external perirectal incision; and a second elongated end portion connected to said second end of said support portion and configured to extend through a tissue path from vaginal tissue, to a region of an ischial spine, and to an external perirectal incisions, wherein the support portion comprises a width and the end portions comprise a width, the widths being perpendicular to the elongate direction of the end portions, the width of the support portion being greater than the width of the end portions, and the support portion extending beyond the width of the end portions in a forward direction and in a rearward direction. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35)
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Specification